Arthrosis diagnosis and treatment Flashcards Preview

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Flashcards in Arthrosis diagnosis and treatment Deck (6)
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1
Q

Whats arthrosis really called

A

Osteoarthritis

2
Q

Cause and presentation of arthrosis/OA

A

Caused by mechanical wear and tear of joints
Damage -> inflammation -> inadequate repair

Presents as pain in weight bearing joints. Pain increases with use and decreases with rest.

May be assymmetric, knees most frequently affected, and especially the medial side, causing bow legged stance

Most importantly there are NO systemic symptoms.

3
Q

Risk factors for OA

A

Age, female sex, obesity, joint trauma

4
Q

Joint characteristics of arthrosis

A
LOSS (LOSsSc)
Loss of joint space
Osteophyte growth (bone spurs)
Subarticular Sclerosis
Subchondral Cysts

Synovial fluid is NOT inflammatory, WBC count less than 2000/mm2

5
Q

Hand characteristics of OA/Arthrosis

A

Heberden nodes and Bouchard nodes

Involve the thumb carpo-metacarpal joint (at wrist)
Involve both interphalangeal joints, distal and proximal

Heberden nodes - DIP joint
Bouchard nodes - PIP joint

6
Q

Treatment of OA

A

Core treatment is PHYSICAL THERAPY/EXERCISE and strengthening of the muscles around the joint.

Drug treatmentL
Acetominophen - OA is the only one where acetominophen is a major treatment

Topical NSAIDs:

Intra-articular glucocorticoid injections

Codeine and NSAIDs for pain management.

Joint replacement in severe cases.